Enterocystoplasty: The Star Modification

Abstract

Star reconfiguration defunctionalizes any potential noncompliant or hyperreflexic tendencies inherent to the neuropathic bladder before augmentation. In addition, the modification provides a technical advantage by increasing the linear length of the edge available for the anastomosis of bowel to bladder.

Hourglass bladder after ileocystoplasty (case report)

“…A supratrigonal bladder excision is the final option for thick bladders with severe tuberculosis and neuropathy. 9 …”

Augmentation Cystoplasty

“…The native bladder is bivalved in the sagittal plane in a clamshell fashion. A modification of the sagittal technique incorporating lateral cystotomies in a stellate pattern to defunctionalize potential hyperreflexic regions of the bladder and increase the length of bladder edge available for anastomosis has been described [23]. Keeping the apex of the U-shaped ileal segment aligned with the apex of the bladder anteriorly, the enterocystotomy is performed.…”